OFFICES IN VERO & PSL. No referrals needed. (772) 299-7299
OFFICES IN VERO & PSL. No referrals needed. (772) 299-7299
Past President, Florida Allergy & Immunology Society
Cleveland Clinic Allegist: Indian River & Martin Health
Johns Hopkins Trained
Your home for relief from the discomfort and misery of all types of allergies.
No referral needed. Accepting new patients. Most insurances accepted.
We accept Blue Cross, Cigna, United, Medicare Assignment and most others.
VERO BEACH OFFICE
TUE & THU 8-3; FRI 8-11
SAINT LUCE WEST OFFICE
MON & THU 8-3
VERO BEACH OFFICE
3375 20th ST
SAINT LUCIE WEST OFFICE
320 NW BETHANY DR
SAINT LUCIE WEST
We accept Medicare assignment, Blue Cross, Anthem, United, Cigna and most others
Please call to chat with us, and remember you may need to stop anti-histamines several days before your visit if you require skin testing.
PLEASE CALL US!
WE WANT TO HELP
Welcome to Vero Allergy & Dermatology!
Welcome to the website for Michael Wein, M.D. Whether you’re learning about us for the first time, or you’re a long-time patient since we opened our doors over twenty years ago, we cover the fundamental aspects of allergy to help get you up and running with your life, healthy and safe. We designed this website so you can learn about the basics of our practice. From setting up your first visit and establishing a treatment plan that's right for you, to the more advanced topics such as immunoglobulin replacement therapy, biologics, anti-leukotrienes, and allergy injection therapy, we’ve got you covered from start to finish. If you’ve been treating allergies for awhile now, you can jump around and find the topics most suitable to your needs. Thank you for taking this journey with us. We’d love your feedback. Join us on Facebook and let us know what topics you would like to know more about. Happy learning! — Dr. Michael Wein and the entire Vero Allergy & Dermatology team.
What are some common allergens?
People can be allergic to one or several allergens. The most common include pollens, molds, dust mites, animal dander, foods, medications, penicillin, and stinging insects such as wasps.
Is there only one type of allergic reaction?
Dr. Michael Wein and Dr. Luigi Notarangelo lead a seminar on immune deficiency at Florida State University College of Medicine. Dr. Notarangelo is NIH Chief of Immunology. Dr. Wein is Assistant Clinical Professor of Allergy and Clinical Immunology at FSU and a former Fellow at the Johns Hopkins Hospital School of Medicine, Department of Allergy and Clinical Immunology.
Dr. Michael Wein, M.D. has served as Chief of Allergy at Indian River Medical Center for over 20 years. He is BOARD CERTIFIED by the American Board of Allergy and completed advanced training in Allergy, Asthma & Immunology at Johns Hopkins. Our staff can perform skin testing to pollen, mold, pets, penicillin and food. We also treat allergic skin conditions such as eczema and chronic hives. We also offer Pulmonary Function testing for the evaluation and treatment of asthma, and can also provide Xolair, Fasenra, Nucala and Benralizumab therapy for asthma as well as Omalizumab for chronic hives (urticaria). We also evaluate and treat recurrent infections and our office can provide SCIG and IVIG gamma globulin replacement therapy.
Evaluation of Allergies
We perform same-day, extremely accurate allergy skin testing in our Port Saint Lucie and Vero Beach offices under close observation. You can leave our office knowing your exact allergies.
Treatment of Allergies
We often recommend avoidance measures, prescribe medication such as antihistamines, anti-leukotrienes, anti-cholinergics, decongestants, inhaled nasal steroids, asthma rescue inhalers, long-acting bronchodilators and many other anti-inflammatory medicines, but when enough relief isn’t obtained, allergy immunotherapy (allergy shots) is a powerful vaccine which can reduce and in some cases completely eliminate allergy symptoms. This is known as allergy desensitization and can last for many years. Allergy shots is the only treatment that targets the underlying causes of allergies and alters the natural course of the disease.
In certain parts of Florida, the allergy season unfolds in a predictable fashion. Tree pollen season usually starts in January, especially Oak and Australian Pine but also Bayberry and a few others. Then the grass pollen season typically starts a few months later, with Bermuda, Bahia and other species found in the Vero Beach and Port Saint Lucie area. The pollen season in Indian River County, for example, often lasts most of the year. With precipitation and unseasonably warm weather, factors have combined to increase the peak and extend the season.
For management of allergy symptoms, the best recommendation is often avoidance measures combined with regular medication. It’s often important for allergy patients to be taking medication on a regular basis every day - whether they think they need it or not. Usually, allergists recommend that people anticipate the pollen season and begin taking medication early in the season - or better yet before the season starts.
It’s also important for allergy sufferers to keep the windows in a car and home closed with the air conditioning on. This can help cut down the indoor pollen counts by 90% or more. And sleeping with the windows closed is also key because a peak for pollen release is between 5 a.m. and 10 a.m. as sunlight is a stimulus for some plants to release pollen.
Mold spores, more problems
Besides pollen, patients may also become sensitized to airborne mold spores. Molds can often be more of a problem than pollen, especially molds that are present in high amounts in damp, rainy conditions. Molds common in Florida include Aspergillus, Alternaria, and Cladosporium, but also many others. More importantly, though, warm weather can be a particularly bad time for mold. There are molds that peak on days of maximum heat and humidity. So later in the summer, particularly from mid-July to early-September, is when the mold count gets very high.
This can make a bad combination for many people who are allergic to both one or more pollen and molds. This is a common pattern, and you might have these symptoms year-round and have a peak of symptoms in the spring and summer. Many patients are polys-ensitized, or allergic to multiple allergens. Sometimes people have classic symptoms of rhino-conjunctivitis (nasal and eye symptoms) that occur seasonally –and we know it’s likely from ragweed. Quite frequently, people have year-round symptoms and there are peaks in the certain times of the year. On skin testing they’re sensitized to pollen and molds, as well as dust mites and cat or dog dander.
Geographic differences important to Florida 'snowbirds' (seasonal residents)
Complicating matters a bit further is that many locals are seasonal residents, and exposed to pollen in other areas geographically. For instance, in California, Bermuda grass is the major pollen allergen that triggers symptoms and ragweed isn’t an issue. In Texas, it’s mountain cedar trees which pollinate early in the year, in January and February .
How to cope
While allergies can make you feel absolutely miserable, it doesn’t have to always be that way. A combination of avoidance and medication might help. For instance, closing the windows of your house (and your car when driving around) and using your air conditioner can greatly reduce the amount of pollen indoors. Medication is also hugely important in helping to manage symptoms and keep you focused even when those pollen counts get high. Intranasal steroids are the most effective medication for dealing with allergies. Available over-the-counter, Rhinocort, Nasacort and Flonase are intranasal steroids and are often effective. Another effective measure against allergies is oral antihistamines. If you’re going to take an antihistamine, you might choose one that’s either non-sedating or low-sedating. These, called second-generation antihistamines, include Claritin, Clarinex, Allegra, Zyrtec and Xyzal.
Allergists and Allergy shots
If these don’t work, there’s still hope. If you’re experiencing a level of symptoms that interferes with your desire to pursue activities or your symptoms are interfering with work or school performance, causing sleep disruption or sleep impairment despite avoidance measures and regular medications, you should see an allergist. Allergy shots, called allergen immunotherapy, are also an option for properly selected patients. The allergy shots offer the potential to affect the underlying allergic potential that drives symptoms.
With so many Floridians suffering from seasonal allergies, it’s important to seek out the right combination of remedies, including seeing an allergist. We frequently see patients who are suffering needlessly …and an allergist can help.